| NPI | 1386101038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY HUNT Owner/Managing Director 267-980-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |